ESTRO ACROP consensus guideline for target volume delineation in the setting of postmastectomy radiation therapy after implant-based immediate reconstruction for early stage breast cancer

Orit Kaidar-Person*, Birgitte Vrou Offersen, Sandra Hol, Meritxell Arenas, Cynthia Aristei, Celine Bourgier, Maria Joao Cardoso, Boon Chua, Charlotte E. Coles, Tine Engberg Damsgaard, Dorota Gabrys, Reshma Jagsi, Rachel Jimenez, Anna M. Kirby, Carine Kirkove, Youlia Kirova, Vassilis Kouloulias, Tanja Marinko, Icro Meattini, Ingvil MjaalandGustavo Nader Marta, Petra Witt Nystrom, Elzbieta Senkus, Tanja Skytta, Tove F. Tvedskov, Karolien Verhoeven, Philip Poortmans

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Immediate breast reconstruction (IBR) rates after mastectomy are increasing. Postmastectomy radiation therapy (PMRT) contouring guidelines for target volumes in the setting of IBR are lacking. Therefore, many patients who have had IBR receive PMRT to target volumes similar to conventional simulator-based whole breast irradiation. The aim of this paper is to describe delineation guidelines for PMRT after implant-based IBR based on a thorough understanding of the surgical procedures, disease stage, patterns of recurrence and radiation techniques. They are based on a consensus endorsed by a global multidisciplinary group of breast cancer experts. (C) 2019 Elsevier B.V. All rights reserved.

Original languageEnglish
Pages (from-to)159-166
Number of pages8
JournalRadiotherapy and Oncology
Volume137
DOIs
Publication statusPublished - Aug 2019

Keywords

  • Breast cancer
  • Radiation therapy
  • Mastectomy
  • Immediate reconstruction
  • Implant
  • Guidelines
  • SKIN-SPARING MASTECTOMY
  • CONTOURING GUIDELINES
  • INTERNAL MAMMARY
  • RADIOTHERAPY
  • IRRADIATION
  • RECURRENCE
  • TRENDS
  • COMPLICATIONS

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